Repeated unsuccessful stressful situations can have negative effects (Burden, 2008), and prolonged stress has been linked to significant physical and mental health consequences (Crocker & Knight, 2005). Several studies have shown that high-stress levels influence personal, social, and academic development and can negatively affect self-worth (e.g., D. Burton & Naylor, 1997; Pajares & Schunk, 2001; Zeigler-Hill, Besser, & King, 2011). This study explored how unnecessary stress, due to challenges accessing print and the presentation of tests and examinations, affects Maltese youth with a profile of dyslexia. Defining Dyslexia The British Dyslexia Association (2019) defines dyslexia as a specific learning difficulty which mainly affects the development of literacy and language related skills. It is likely to be present at birth and to be lifelong in its effects. It is characterized by difficulties with phonological processing, rapid naming, working memory, processing speed and the automatic development of skills that may not match up to an individual's other cognitive abilities. (para.1) These difficulties may place the dyslexic student at a disadvantage on traditional forms of assessment (Peer & Reid, 2002) and create greater anxiety (Carroll & Iles, 2006). Students with dyslexia may, in fact, have to spend more time and effort on their work than nonstudents with dyslexia, leading to feelings of incompetence as they believe themselves to be less capable than their peers (Kannangara, 2015). Stress, Examinations, and Dyslexia We live in a test-conscious, test-giving culture in which the lives of people are in part determined by their test performance (Sarason, Davidson, Lighthall, Waite, & Ruebush, 1960). This makes paramount that assessment practices are 855674S GOXXX10.